ClinicalTrials.gg
Not yet recruitingNCT07359807MAGICAL SFAUpdated Apr 17, 2026

A Study Comparing the MAGICTouch™ Sirolimus-coated Balloon With a Paclitaxel-coated Balloon for Treating Severe Narrowing or Blockage in the Femoropopliteal Arteries.

A Phase 2/3 interventional study of Sirolimus (RAPAMUNE) drug-coated balloon angioplasty catheter and Paclitaxel drug-coated balloon angioplasty in Popliteal Artery Disease and Superficial Femoral Artery Disease, sponsored by Concept Medical Inc.. Not yet recruiting. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2026-04-17.

Sponsored by Concept Medical Inc. · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
478
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Study summary

Percutaneous Transluminal Angioplasty (PTA), in which a balloon is advanced and inflated in the obstructed artery for several seconds to minutes, has become the standard endovascular treatment for peripheral arteries. The long-term success of bare balloon PTA in the femoropopliteal segment is hampered by the occurrence of restenosis, which can be reduced by local antiproliferative drug delivery via the PTA balloon catheter.

The rationale of this trial is based on the hypothesis that the usage of the MagicTouch drug-coated balloon (DCB) is at least equal (non-inferior) with regard to efficacy and safety in comparison with a clinically well-established paclitaxel drug-coated balloon (PTX DCB).

The objective of this prospective, randomized, multi-center trial is to compare the Magic Touch® DCB with PTX DCBs for treatment of high-grade stenotic or occluded lesions in supeficial femoral artery (SFA) and/or P1 segment of the popliteal artery in PAD patients.

02

Conditions studied

  • Popliteal Artery Disease
  • Superficial Femoral Artery Disease

Keywords

  • SFA
  • Sirolimus
  • Paclitaxel
  • Drug-eluting
  • Angioplasty
  • Balloon
  • MagicTouch
  • PAD
  • Peripheral Arterial Disease
  • Stenotic
  • Stenosis
  • Occlusion
  • Superfical Femoral Artery
  • Popliteal Artery
03

In context

Peripheral Arterial Disease

1,377 studies on the registry are indexed under Peripheral Arterial Disease; 275 are open to participants now.

This study's planned enrollment of 478 is above the median of 70 across 927 interventional studies indexed under Peripheral Arterial Disease.

Browse Peripheral Arterial Disease studies →

Lead sponsor

Concept Medical Inc. is the lead sponsor of 9 studies on the registry; 7 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Subject age ≥ 21 years
  • Subject has been informed of the nature of the trial, the duration of the trial, agrees to attend follow-up visits, agrees to complete the required testing, agrees to participate, and has signed an form.
  • Rutherford category 2-4 according to the investigator's subjective evaluation
  • Subject has de-novo or re-stenosed lesion with ≥ 70% stenosis documented angiographically, and no prior stent in the target lesion.
  • Target lesion length is ≥ 40mm and ≤ 200mm by visual estimate of the treating physician.
  • Multiple lesions with max. A 30mm healthy vessel segment between lesions can be considered, at the treating physician's discretion, as one lesion. Total lesion length should not exceed 200mm.
  • Reference vessel diameter (RVD) ≥ 4mm and ≤ 7 mm by visual estimation.
  • Patency of P2 and P3 segments of the popliteal artery and at least one (1) infra-popliteal artery to the ankle (\< 50% diameter stenosis) in continuity with the femoropopliteal artery.
  • Patency of the ipsilateral iliac artery (≤ 30% diameter stenosis). Iliac artery stenosis > 30% may be treated during the index procedure to ensure sufficient inflow.
  • Staged Intervention of the contralateral limb is permitted at +/- 30 days.
  • A subject can only be enrolled and randomized once with only one target lesion in the MAGICAL SFA trial. Note that only the lesion in one limb can be treated as a target lesion for the index procedure.

Exclusion criteria

Exclusion Criteria:

  • Failure of the guidewire to successfully cross the target lesion or subintimal target lesion.
  • Flow-limiting dissection after pre-dilatation and/or residual stenosis > 30% prior to randomization.
  • Angiographic evidence of severe calcification of the target vessel (contiguous calcification on both sides of the vessel).
  • Presence of fresh/organized thrombus in the target lesion.
  • Presence of aneurysm in the target vessel/s.
  • Prior vascular surgery (including atherectomy , bypass surgery) of the target limb.
  • Prior stent in the target lesion.
  • Stroke or heart attack within three months prior to enrollment.
  • Any vascular surgical procedure or intervention performed in the target limb within 30 days prior to or planned within 30 days post index procedure.
  • Any vascular treatment with PTX or sirolimus-coated devices 60 days prior to the index procedure.
  • Target lesion requires treatment with alternative therapies such as primary stenting, laser, lithotripsy, thrombectomy, atherectomy, and/or cryoplasty brachytherapy re- entry devices.
  • Enrolled in another drug, device, or biologic trial where the primary end point is not yet achieved.
  • of less than one year in the investigator's opinion.
  • Known allergies or sensitivity to heparin, aspirin, other anticoagulant/antiplatelet therapies, sirolimus, paclitaxel, or contrast media that cannot be adequately pre- treated prior to index procedure.
  • Significant gastrointestinal bleeding or any coagulopathy that would contraindicate the use of anti- therapy.
  • Receiving dialysis or therapy . (A systemic therapy with expected maximum dosage of 5mg prednisolone or equivalent, per day, during the initial 9 months after procedure, is allowed.)
  • Subjects with severe (Stage 4) renal disease, defined as \< 30%.
  • Pregnant or lactating females .
  • History of major amputation in the target lesion limb.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
478 participants (estimated)

Study arms

  • Experimental
    MagicTouch sirolimus drug coated angioplasty balloon

    Subjects randomized to this arm will receive the experimental device during the angioplasty procedure to treat the affected vessel lesion that was occluded or stenosed.

    Combination Product: Sirolimus (RAPAMUNE) drug-coated balloon angioplasty catheter

  • Active comparator
    Paclitaxel drug coated angioplasty balloon

    Subjects randomized to this arm will receive the control device during the angioplasty procedure to treat the affected vessel lesion that was occluded or stenosed.

    Combination Product: Paclitaxel drug-coated balloon angioplasty

Interventions

  • Sirolimus is used outside the United States to block cell growth, cell proliferation (especially T-cells), and angiogenesis (new blood vessel formation). This experimental device uses proprietary technology to adhere sirolimus to the balloon catheter, deliver it to the affected vessel, and ultimately be absorbed by the surrounding tissue.

  • Combination productPaclitaxel drug-coated balloon angioplasty

    Paclitaxel, which is used in cancer chemotherapy for various indications, is a drug that disrupts normal microtubule function and prevents neointimal hyperplasia by inhibiting smooth muscle cell migration, proliferation, and extracellular matrix secretion and is currently used in the United States.

06

What researchers measure

Primary outcomes

  1. Vessel Patency Rate & Freedom from Post-Procedure Complications after One Year (12 months)

    Measured by the absence of clinically driven target lesion revascularization (CD-TLR) due to symptoms and a drop of ABI of ≥ 20% or \> 0.15 when compared to post-procedure or restenosis with PSVR \> 2.4 evaluated by duplex ultrasound. Also, a composite of freedom from device and procedure-related death through 12-months post procedure, as well as freedom from target limb major amputation and clinically driven target vessel revascularization

    Time frame: One year from index procedure

Secondary outcomes

  1. Long-term Safety and Efficacy of the Treated Vessel

    1. Vesel patency at 6, 12, 24, and 48-month \& free of clinically-driven TLR at 1, 6, 12, 24, 36, 48, and 60-month 2. Sustained clinical improvement: an improvement shift in the Rutherford classification of at least one category in amputation and TVR-free surviving subjects at 12 months 3. Change in walking capacity assessment from pre-procedure to the respective follow-up visits 4. Duplex-defined binary restenosis (PSVR \> 2.4) of the target lesion post-procedure and at 6, 12, \& 24-months, or at any time of re-intervention 5. Hemodynamic improvement is defined as an increase in resting ankle brachial index (ABI) from pre-procedure to discharge, 6, 12, 24, and 48-months 6. Change in quality-of-life (QoL) assessment by VascuQol questionnaire and EQ5D-5L index questionnaire from pre-procedure through applicable follow-up visits 7. All-cause mortality at 1, 6, 12, 24, 36, 48, and 60-month 8. Target limb major amputation at 1, 6, 12, 24, 36, 48, and 60-month

    Time frame: Up to five years after index procedure

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No — This may change, but at this time, the results are for potential future marketing and sales of the investigational device pending government approval.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07359807
Lead sponsor
Concept Medical Inc.
Responsible party
Sponsor
First posted
Jan 22, 2026
Start date
Apr 2026 (estimated)
Primary completion
Dec 2027 (estimated)
Completion
Jan 2033 (estimated)
Last update
Apr 17, 2026

Study contacts

Farhana Siddique
Contact
farhana@conceptmedical.com
332-273-2727
Farhana Siddique
study director · Concept Medical Inc.
Sahil Parikh, MD
principal investigator · New York-Presbyterian/Columbia University Hospital
Eric A Secemsky, MD
principal investigator · Beth Israel Deaconess Medical Center
Brain DeRubertis, MD
principal investigator · New York Presbyterian - Weill Cornell Medical Center
Edward Choke, PhD
principal investigator · Sengkang General Hospital
Masahiko Fujihara, MD
principal investigator · Kishiwada Tokushukai Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Sirolimus

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